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目的:探究新生儿在进行下足跟采血时吸吮乳汁对疼痛的缓解效果观察。方法:随机选取我院新生儿60例,30例新生儿为吸吮乳汁组,另30例为常规组。记录这些新生儿在接受疼痛刺激前20秒、2分钟、4分钟和接受疼痛刺激后20秒、2分钟、4分钟的心率值、呼吸频率还有哭声的时间,同时在足跟采血后的1分钟后通过新生儿的面部编码系统进行新生儿疼痛评分。结果:在穿刺后20秒时,常规组和吸吮乳汁组新生儿的心率都明显加快且P<0.01,吸吮乳汁组在2分钟时心率恢复到正常水平,常规组在4分钟时心率恢复到正常水平;在进行疼痛刺激后20秒后常规组和吸吮乳汁组的新生儿的呼吸频率都加快且P<0.05,吸吮乳汁组在2分钟时达到正常水准,常规组在4分钟时达到正常水准;穿刺后两组新生儿的哭声长短进行比较,吸吮乳汁组的婴儿哭声明显比常规组短,P<0.01;疼痛评估量表评分是吸吮乳汁组明显比常规组低,且P<0.01。结论:吸吮乳汁对新生儿来说有较好的止痛效果,值得推广。
Objective: To explore the effect of relieving pain in newborns sucking milk during the heel and blood sampling. Methods: Sixty newborns in our hospital were randomly selected. Thirty newborns were suckling milk group and the other 30 were routine. The newborns were recorded for heart rate, heart rate, respiratory rate and cessation time 20 seconds, 2 minutes, 4 minutes 20 minutes, 2 minutes 4 minutes 20 minutes after receiving the painful stimulus, Neonatal pain scores were scored 1 minute later using the newborn’s facial coding system. Results: At 20 seconds after puncturing, the heart rate of newborns in conventional group and suckling milk group both accelerated significantly (P <0.01), and the heart rate returned to normal level in sucking latex group at 2 minutes, and returned to normal level in normal group at 4 minutes The respiratory rate of newborns of conventional group and sucking milk group were both accelerated and P <0.05 after 20 seconds of pain stimulation. Normal sucking milk group reached normal level at 2 minutes and normal level at 4 minutes. Crying sound of two groups of newborn babies after puncturing was compared. The cries of babies sucking breast milk group were significantly shorter than those of the conventional group (P <0.01). The score of pain assessment scale was significantly lower in sucking milk group than in conventional group (P <0.01). Conclusion: Sucking milk has a good analgesic effect on newborns, which is worth promoting.